NSG 6001 FINAL PRACTICE QUESTIONS AND ANSWERS 2023/2024 SOLVED
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NSG 6001
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NSG 6001
NSG 6001 FINAL PRACTICE QUESTIONS AND ANSWERS 2023/2024 SOLVED
1. A nurse caring for a patient with chronic obstructive pulmonary disease (COPD) knows that hypoxia may occur in patients with respiratory problems. What are signs of this serious condition?
Select all answers that apply.
A. D...
nsg 6001 final practice questions and answers 20232024 solved 1 a nurse caring for a patient with chronic obstructive pulmonary disease copd knows that hypoxia may occur in patients with respira
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NSG 6001 FINAL PRACTICE QUESTIONS AND
ANSWERS 2023/2024 SOLVED
1. A nurse caring for a patient with chronic obstructive pulmonary disease
(COPD) knows that hypoxia may occur in patients with respiratory problems.
What are signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate
1. a, c, e, f. If a problem exists in ventilation, respiration, or perfusion, hypoxia may
occur. Hypoxia is a condition in which an inadequate amount of oxygen is available to
cells. The most common symptoms of hypoxia are dyspnea (difficulty breathing), an
elevated blood pressure with a small pulse pressure, increased respiratory and pulse
rates, pallor, and cyanosis.
2. A nurse is suctioning the nasopharyngeal airway of a patient to maintain a
patent airway. For which condition would the nurse anticipate the need for a
nasal trumpet?
A. The patient vomits during suctioning.
B. The secretions appear to be stomach contents.
C. The catheter touches an unsterile surface.
D. Epistaxis is noted with continued suctioning.
. d. When epistaxis is noted with continued suctioning, the nurse should notify the
physician and anticipate the need for a nasal trumpet. The nasal trumpet will protect the
nasal mucosa from further trauma related to suctioning.
3. A nurse is inserting an oropharyngeal airway for a patient who vomits when it
is inserted. Which action would be the first that should be taken by the nurse
related to this occurrence?
A. Quickly position the patient on his or her side.
B. Put on disposable gloves and remove the oral airway.
C. Check that the airway is the appropriate size for the patient.
D. Put on sterile gloves and suction the airway.
a. When a patient vomits upon insertion of an oropharyngeal airway, the nurse should
immediately position the patient on his or her side to prevent aspiration, remove the oral
airway, and suction the mouth if needed
4. A nurse is choosing a catheter to use to suction a patient's endotracheal tube
via an open system. On which variable would the nurse base the size of the
catheter to use?
,A. The age of the patient
B. The size of the endotracheal tube
C. The type of secretions to be suctioned
D. The height and weight of the patient
. b. The nurse would base the size of the suctioning catheter on the size of the
endotracheal tube. The external diameter of the suction catheter should not exceed half
of the internal diameter of the endotracheal tube. Larger catheters can contribute to
trauma and hypoxemia.
5. A nurse is caring for a 16-year-old male patient who has been hospitalized for
an acute asthma exacerbation. Which testing methods might the nurse use to
measure the patient's oxygen saturation? Select all that apply.
A. Thoracentesis
B. Spirometry
C. Pulse oximetry
D. Peak expiratory flow rate
E. Diffusion capacity
F. Maximal respiratory pressure
b, c, d.
Spirometers are used to monitor the health status of patients with respiratory disorders,
such as asthma.
Pulse oximetry is used to obtain baseline information about the patient's oxygen
saturation level and is also performed for patients with asthma, along with PEFR to
monitor airflow. These three tests may be administered by the nurse.
Diffusion capacity estimates the patient's ability to absorb alveolar gases and
determines if a gas exchange problem exists. Maximal respiratory pressures help
evaluate neuromuscular causes of respiratory dysfunction. Both tests are usually
performed by a respiratory therapist. The physician or other advanced practice
professional can perform a thoracentesis at the bedside with the nurse assisting, or in
the radiology department.
6. A patient with COPD is unable to perform activities of daily living (ADLs)
without becoming exhausted. Which nursing diagnosis best describes this
alteration in oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of bronchodilators
C. Fatigue related to impaired oxygen transport system
D. Ineffective Airway Clearance related to fatigue
c. Fatigue related to an impaired oxygen transport system is an example of a nursing
diagnosis with alteration in oxygenation as the etiology or cause of other problems.
Ineffective Airway Clearance, Decreased Cardiac Output and Impaired Gas Exchange
are examples of nursing diagnoses indicating alterations in oxygenation as the problem
7. A nurse working in a long-term care facility is providing teaching to patients
with altered oxygenation due to conditions such as asthma and COPD. Which
,measures would the nurse recommend? Select all that apply.
A. Refrain from exercise.
B. Reduce anxiety.
C. Eat meals 1 to 2 hours prior to breathing treatments.
D. Eat a high-protein/high-calorie diet.
E. Maintain a high-Fowler's position when possible.
F. Drink 2 to 3 pints of clear fluids daily
b, d, e. When caring for patients with COPD, it is important to create an environment
that is likely to reduce anxiety and ensure that they eat a high-protein/high-calorie diet.
People with dyspnea and orthopnea are most comfortable in a high Fowler's position
because accessory muscles can easily be used to promote respiration. Patients with
COPD should pace physical activities and schedule frequent rest periods to conserve
energy. Meals should be eaten 1 to 2 hours after breathing treatments and exercises,
and drinking 2 to 3 quarts (1.9-2.9 L) of clear fluids daily is recommended.
8. A nurse is providing postural drainage for a patient with cystic fibrosis. In
which position should the nurse place the patient to drain the right lobe of the
lung?
A. High Fowler's position
B. Left side with pillow under chest wall
C. Lying position/half on abdomen and half on side
D. Trendelenberg position
b. For postural drainage, the nurse should place the patient lying on the left side with a
pillow under the chest wall to drain the right lobe of the lung, use high Fowler's position
to drain the apical sections of the upper lobes of the lungs, place the patient in a lying
position, half on the abdomen and half on the side, right and left, to drain the posterior
sections of the upper lobes of the lungs, and place the patient in the Trendelenburg
position to drain the lower lobes of the lungs.
9. A nurse is teaching a patient how to use a meter-dosed inhaler for her asthma.
Which comments from the patient assure the nurse that the teaching has been
effective? Select all that apply.
A. "I will be careful not to shake up the canister before using it."
B. "I will hold the canister upside-down when using it."
C. "I will inhale the medication through my nose."
D. "I will continue to inhale when the cold propellant is in my throat."
E. "I will only inhale one spray with one breath."
F. "I will activate the device while continuing to inhale."
d, e, f. Common mistakes that patients make when using MDIs include failing to shake
the canister, holding the inhaler upside down, inhaling through the nose rather than the
mouth, inhaling too rapidly, stopping the inhalation when the cold propellant is felt in the
throat, failing to hold their breath after inhalation, and inhaling two sprays with one
breath.
10. When planning care for a patient with chronic lung disease who is receiving
oxygen through a nasal cannula, what does the nurse expect?
, A. The oxygen must be humidified.
B. The rate will be no more than 2 to 3 L/min or less.
C. Arterial blood gases will be drawn every 4 hours to assess flow rate.
D. The rate will be 6 L/min or more.
b. A rate higher than 3 L/min may destroy the hypoxic drive that stimulates respirations
in the medulla in a patient with chronic lung disease. Oxygen delivered at low rates
does not necessarily have to be humidified, and arterial blood gases are not required at
regular intervals to determine the flow rate.
11. A nurse is securing a patient's endotracheal tube with tape and observes that
the tube depth changed during the retaping. Which action would be appropriate
related to this incident?
A. Instruct assistant to notify the primary care provider.
B. Assess the patient's vital signs.
C. Remove the tape, adjust the depth to ordered depth and reapply the tape.
D. No action is required as depth will adjust automatically
c. The tube depth should be maintained at the same level unless otherwise ordered by
the physician. If the depth changes, the nurse should remove the tape, adjust the tube
to ordered depth, and reapply the tape
12. What action does the nurse perform to follow safe technique when using a
portable oxygen cylinder?
A. Checking the amount of oxygen in the cylinder before using it
B. Using a cylinder for a patient transfer that indicates available oxygen is 500 psi
C. Placing the oxygen cylinder on the stretcher next to the patient
D. Discontinuing oxygen flow by turning cylinder key counterclockwise until tight
a. The cylinder must always be checked before use to ensure that enough oxygen is
available for the patient. It is unsafe to use a cylinder that reads 500 psi or less because
not enough oxygen remains for a patient transfer. A cylinder that is not secured properly
may result in injury to the patient. Oxygen flow is discontinued by turning the valve
clockwise until it is tight.
13. A nurse providing care of a patient's chest drainage system observes that the
chest tube has become separated from the drainage device. What would be the
first action that should be taken by the nurse in this situation?
A. Notify the physician.
B. Apply an occlusive dressing on the site.
C. Assess the patient for signs of respiratory distress.
D. Put on gloves and insert the chest tube in a bottle of sterile saline.
d. When a chest tube becomes separated from the drainage device, the nurse should
first put on gloves, open a sterile bottle of normal saline or water, and insert the chest
tube into the bottle without contaminating the chest tube. This creates a water seal until
a new drainage unit can be attached. Then the nurse should assess vital signs and
notify the physician.
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